Banca de DEFESA: SABRINNE SUELEN SANTOS SAMPAIO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SABRINNE SUELEN SANTOS SAMPAIO
DATE: 27/02/2020
TIME: 08:00
LOCAL: A DEFINIR
TITLE:

EVALUATION OF NEURODEVELOPMENT IN PREMATURES UNDER THE KANGAROO METHOD - A COHORT STUDY

KEY WORDS:

Child Development, Premature Newborn, Kangaroo Method

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Premature birth is one of the main causes of infant mortality in Brazil and is one of the main public health problems in the world. Studies address that, despite all the complications caused by prematurity, early interventions and stimuli provided by families provide a positive effect on motor and cognitive development. And a positive engagement strategy between family, environment and newborn is the Kangaroo Method (KM). Objective: To assess the motor development of the premature newborn (PTNB) undergoing KM, from admission to the Neonatal Intensive Care Unit (NICU) to the follow-up clinic and to identify factors related to typical and atypical development. Methodology: This is a cohort study conducted at the Maternidade Escola Januário Cicco. Pre-term newborns (PTNB), with gestational age less than 37 weeks, weight below 2500g, participated in the follow-up. Clinical information about PTNB and the mother's pregnancy and during hospitalization was collected; the time of kangaroo position, during the second stage of the KM. The generalized movements (GM) of babies were evaluated in the three stages of KM and the development of PTNBs were evaluated in the second and third stages of GM. The evaluations with the test of infant motor performance (TIMP) instrument were performed in the second stage of the method and in the follow-up clinic at 3 - 4 months of corrected gestational age. For statistical analysis, a significance level of 5% and a 95% confidence interval were assigned to all analyzes. Descriptive analysis was presented as mean and standard deviation (SD). The normality of the study variables was verified using the Shapiro Wilk test. To compare means between groups, Mann-Whitney was used and for categorical variables, Fisher's exact test was used. Results: The sample consisted of 22 babies. GM analyzes showed a gradual improvement in the motor repertoire. As for the evaluation with TIMP, 63.3% showed atypical development, when analyzing the associated clinical factors, it was observed that only the number of prenatal consultations, sex, first minute apgar, O2 days, phototherapy days and IG and weight of admission to the ward showed statistically significant differences. In the second evaluation at the outpatient clinic, the instruments showed an agreement level (kappa) of 1,000 at 3 - 4 months and only 13.6% of the sample remained with the atypical motor development when evaluating. When comparing the means between the groups of babies with the typical and atypical motor repertoire, there was no significant difference between the samples at the time of the kangaroo position. Conclusion: The importance of early investigation of neurodevelopment in a hospital environment is emphasized and this can be associated with the kangaroo method which becomes a key element in family empowerment and engagement, making the home environment enriched and with the potential to promote and change the pattern motor development.

BANKING MEMBERS:
Externa à Instituição - ADRIANA NEVES DOS SANTOS - UFSC
Externa à Instituição - MARTINA ESTEVAM BROM VIEIRA - UEG
Presidente - 2179208 - ANA RAQUEL RODRIGUES LINDQUIST